Am J Epidemiol. 2022 Oct 20;191(11):1906-1916. doi: 10.1093/aje/kwac151.
A growing body of research suggests that adult child educational attainment benefits older parents' cognitive outcomes via financial (e.g., direct monetary transfers) and nonfinancial (e.g., psychosocial) mechanisms. Quasi-experimental studies are needed to circumvent confounding bias. No such quasi-experimental studies have been completed in higher-income countries, where financial transfers from adult children to aging parents are rare. Using data on 8,159 adults aged ≥50 years in the Survey for Health, Aging and Retirement in Europe (2004/2005), we leveraged changes in compulsory schooling laws as quasi-experiments. Each year of increased schooling among respondents' oldest children was associated with better verbal fluency (β = 0.07, 95% CI: 0.02, 0.12) scores; overall associations with verbal memory scores were null, with mixed and imprecise evidence of association in models stratified by parent gender. We also evaluated associations with psychosocial outcomes as potentially important mechanisms. Increased schooling among respondents' oldest children was associated with higher quality-of-life scores and fewer depressive symptoms. Our findings present modest albeit inconsistent evidence that increases in schooling may have an "upward" influence on older parents' cognitive performance even in settings where financial transfers from adult children to their parents are uncommon. Associations with parents' psychosocial outcomes were more robust.
越来越多的研究表明,成年子女的受教育程度通过经济(例如,直接货币转移)和非经济(例如,心理社会)机制有益于老年父母的认知结果。需要进行准实验研究来规避混杂偏差。在高收入国家,尚未完成此类准实验研究,因为成年子女向老年父母的经济转移很少见。利用欧洲健康、老龄化和退休调查(2004/2005 年)中 8159 名年龄≥50 岁的成年人的数据,我们利用义务教育法的变化作为准实验。受访者的最年长子女受教育年限每增加一年,与更好的言语流畅性(β=0.07,95%CI:0.02,0.12)得分相关;与言语记忆得分的总体相关性为零,在按父母性别分层的模型中,关联存在混合且不精确的证据。我们还评估了与心理社会结果的关联,作为潜在的重要机制。受访者最年长子女的受教育年限增加与更高的生活质量评分和更少的抑郁症状相关。我们的研究结果提供了适度但不一致的证据,表明即使在成年子女向父母转移资金不常见的情况下,受教育程度的提高也可能对老年父母的认知表现产生“向上”的影响。与父母心理社会结果的关联更为稳健。